How much rates vary
Professionalmedian $977 · 10th to 90th $174 to $1,820
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $977.24 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $194.98 Typical High $199.53 | Professional | 26 · Professional part | $190.55 | $194.98 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $794.33 | $851.14 | $851.14 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $181.97 | Professional | None (both parts) | $173.78 | $173.78 | $181.97 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,071.52 Typical High $2,187.76 | Professional | None (both parts) | $891.25 | $1,071.52 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $199.53 Typical High $416.87 | Professional | 26 · Professional part | $173.78 | $199.53 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $870.96 Typical High $1,778.28 | Professional | TC · Technical part | $724.44 | $870.96 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,230.27 Typical High $1,819.70 | Professional | None | $794.33 | $1,230.27 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $234.42 Typical High $346.74 | Professional | 26 · Professional part | $151.36 | $234.42 | $346.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,000.00 Typical High $1,479.11 | Professional | TC · Technical part | $645.65 | $1,000.00 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,548.82 Typical High $3,388.44 | Professional | None (both parts) | $467.74 | $1,548.82 | $3,388.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $234.42 Typical High $501.19 | Professional | 26 · Professional part | $162.18 | $234.42 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $1,348.96 Typical High $3,162.28 | Professional | TC · Technical part | $269.15 | $1,348.96 | $3,162.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $316.23 Typical High $338.84 | Professional | 26 · Professional part | $218.78 | $316.23 | $338.84 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $489.78 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $194.98 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $147.91 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $97.72 | $104.71 | $104.71 |
Where Maryland sits
The same service costs 11.2 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Maryland· 40th of 51
$977
AK $3,020KY $269
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.